Experience in the treatment of liver abscesses.
DOI:
https://doi.org/10.26641/2307-0404.2018.4.152997Keywords:
Liver abscesses, diagnostics, surgical treatmentAbstract
The paper presents the results of diagnosis and treatment of patients with liver abscesses. In the surgery of Dnipropetrovsk Regional Hospital named after І.І. Mechnikov 183 patients diagnosed with liver abscess aged 18 to 81 years were treated. In 118 (64.5%) patients the period from the first complaints to the diagnosis was up to 1 month, in 48 (26,2%)from 1 to 3 months,in 15 (8,2%)from 3 to 6 months, in 2 (1.1%) from 6 to 12.To diagnose abscesses of the liver ultrasound of abdominal cavity, computer tomography, laparoscopy were used. Treatment of liver abscesses included both conservative therapy and surgical intervention. Only 14 (7.6%) patients received conservative treatment. Surgical treatment included minimally invasive interventions under U.S. control, laparoscopic, open drainage and resection techniques. The method of choice of surgical treatment for patients with uncomplicated liver abscesses with a diameter of 3 cm or more was echocontrolled peritoneal pelvic drainage, performed in 146 (79.8%) patients. Complications of surgical treatment were found in 15 (8.2%) cases: drainage dislocation –in 12 (6.6%) patients, purulent fistula – in 1 (0.5%), intestinal obstruction – in 1 (0.5%), peritonitis –in 1 (0.5%).
References
Alperovitch BI. [Liver surgery]. Meditsinckie nauki. Klinicheckaia meditsina. 2010;3:352. Russian.
Achaladse GG, Zereteli Iju. Liver abscesses. Annaly khirurhicheckoi gepatologii. 2006;1(11):97-105. Russian.
Moshkivskyi GJu. [Methodological and tactical and technical bases for the implementation of percutaneous echo-controlled interventions]. Klinich. hirurgiia. 2012;9:25-28. Ukrainian.
Moshkivskyi GJu. [The role of percutaneous interventions under the control of ultrasound examination in the treatment of extraordinary post-operative limited limestone fluid]. Klinich. hirurgiia. 2010;5(6):31. Ukrainian.
Moshkivskyi GJu. [Features of treatment of cholangiogenic abscesses of the liver through percutaneous interventions under the control of ultrasound examination]. Klinich. hirurgiia. 2010;8:45-50. Ukrainian.
Shevchuk IM, Shevchuk MG, Dronya MM, Vatseba AO. [Modern aspects of surgical treatment of patients with abscesses of the liver, complicated by abdominal sepsis]. Shpіtal'na khіrurgіya. 2010;3:46-48. Ukrainian.
Shapovalianc ST, Mylnykov AT. [Liver abscesses]. Klinicheskaia khirurhiia. Natsionalnoe rukovodstvo. 2009;3:188-96. Russian.
Shatalov OD. [Modern treatments for abscesses and purulent cysts liver]. AML. 2011;XVІІ(3):35-38. Ukrainian.
Kalita NYa, Nichitaylo ME, Kotenko OG. [Etiology, pathogenesis and clinical diagnostic aspects of liver abscess]. Klіnіchna khіrurgіya. 2004;10:54-58. Russian.
Alvarez Perez JA. Clinical course, treatment, and multivariate analysis of risk factors for pyogenic liver abscess. Am. J. surg. 2001;181(2):177-86.
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